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32

Building Socio-ecological Resilience to Climate Change through Community-Based Coastal Conservation and Development: Experiences in Southern Madagascar

Examination of an integrated population-health-environment (PHE) programme in Madagascar, comprising a locally-managed marine area (LMMA) and socio-economic development activities, illustrates how practical initiatives can contribute to building immediate and long-lasting resilience and adaptive capacity.

34

Big Issues Deserve Bold Responses: Population and Climate Change in the Sahel

Taken together, rapid population growth and climate change pose a serious threat to the livelihood of the majority of the one hundred million people now living in the Sahel region and about two hundred million more who will live there in a generation’s time. This paper encourages working across silos to address these interrelated challenges.

36

Beginning With Sustainable Scale Up in Mind: Initial Results From an Integrated Population, Health and Environment Project in East Africa

This paper shows how a new approach in integrated population, health and environment projects is being applied and the initial lessons from its use in the Health of People and Environment in the Lake Victoria Basin Project (HoPE-LVB) currently underway (2011-2017) in Uganda and Kenya.

37

Applying ExpandNet’s Systematic Approach toScaling Up in an Integrated Population, Health andEnvironment Project in East Africa

This paper lays out the systematic approach to scale up developed by ExpandNet and subsequently illustrates its application in the Health of People and Environment in the Lake Victoria Basin (HoPE-LVB) project, which is an integrated PHE project implemented in Uganda and Kenya from 2012–2017.

38

Does Doing More Result in Doing Better? Exploring Synergies in an Integrated Population, Health and Environment Project in East Africa

Using qualitative data to explore value-added outcomes resulting from a PHE project serving communities along Lake Victoria in Kenya and Uganda, this study explores several theories about why this integrated project may be generating value-added outcomes, including changes in established gender roles, as well as substitution of time and investment of new income into sustainable livelihood activities, particularly among women. Integration led to several value-added benefits, particularly for women, although long-term sustainability of project outcomes remains a key concern.